Individual
MR. DAVID CRAIG OATES II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1051 BLOSSOM ST, COLUMBIA, SC 29208-0010
(803) 777-0164
Mailing address
1001 TRUE ST APT 218, COLUMBIA, SC 29209-1747
(919) 770-5528
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
520201
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS
NC
Enumeration date
02/10/2014
Last updated
06/23/2020
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